射阳县2006-2014年恙虫病流行趋势分析  

Epidemiological characteristics of tsutsugamushi disease in Sheyang from 2006 to 2014

作　　者：金加洪[1] 曹恒志[1] 

机构地区：[1]射阳县疾病预防控制中心,江苏224300

出　　处：《医学动物防制》2016年第5期535-536,539,共3页Journal of Medical Pest Control

摘　　要：目的分析射阳县2006-2014年恙虫病疫情流行趋势及其特征,为制定防制策略提供依据。方法运用描述性流行病学方法分析2006-2014年射阳县恙虫病疫情数据及流行病学个案调查表,应用间接免疫荧光试验方法检测血清抗恙虫病Ig M。结果 2006-2014年射阳县共报告130例恙虫病病例,年平均报告发病率1.47/10万。病例中男性54例、女性76例;年龄最小的1岁,最大的80岁;以农民为主,占82.31%(107/130);病例全部在10、11月发病;主要临床表现有发热、皮肤焦痂等;血清间接免疫荧光试验方法检测抗恙虫病Ig M,阳性率为66.67%。结论射阳县自2006年首次发现恙虫病,此后疫情持续流行并有扩大趋势。Objective To explore the epidemiological and clinicalcharacteristics of tsutsugamushi disease in Sheyang county,Jiangsu province during 2006- 2014. Methods Descriptive epidemiological methodology was used to analyze the epidemic data and epidemiological case investigation forms for tsutsugamushi disease during 2006 – 2014. Indirect immunofluorescence assay was applied to test the serum anti- tsutsugamushi Ig M in part of the patients. Results A total of 130 cases with tsutsugamushi disease were reported in Sheyang county during 2006- 2014,including 54 men and 76 women,and the reported incidence rate was 1. 47 /100 000. These patients are mainly farmers,accounting for 82. 31%（ 107 /130）. Their ages varied from 1 to 80 years old. The clinical features of patients included fever（ 130 /130） and skin escarp（ 130 /130）. The positive rate of serum anti- tsutsugamushi Ig M in the patients is 66. 67%,by using the indirect immunofluorescence assay. Conclusion Tsutsugamushi disease was initially identified in County Sheyang in the year of 2006. The epidemic has persisted ever since and tends to expand.

关 键 词：恙虫病 流行病学 预防与控制 

分 类 号：R513.2[医药卫生—内科学]